BERKSHIRE MEDICINE INC. NPI 1699969329

NPI Information

NPI: 1699969329
Provider Name: BERKSHIRE MEDICINE INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 22D1025620

Address:
163 SOUTH ST
PITTSFIELD, MA
ZIP 01201
Phone: (413) 442-3309
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BERKSHIRE MEDICINE INC. is a primary care clinic center in Pittsfield, MA. BERKSHIRE MEDICINE INC. NPI is 1699969329. The provider is registered as an organization entity type.

The provider's business location address is:

163 SOUTH ST
PITTSFIELD, MA
ZIP 01201-988
Phone: (413) 442-3309
Fax: (413) 358-9014

The provider's authorized official is Barry Lobovits .
The authorized official title is President and has the following contact phone number (413) 442-3309.

The CLIA number assigned to this NPI record is 22D1025620 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 9/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	39562	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M19071	OTHER	MASSACHUSETTS	BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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